Individual
MS. BROOKE LYNN SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VINE ST, SCRANTON, PA 18510-2126
(570) 344-6177
Mailing address
1101 VINE ST, SCRANTON, PA 18510-2126
(570) 344-6177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014679
PA
Other
Enumeration date
04/18/2016
Last updated
11/07/2016
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